病患身轻能转侧者为轻。身重难转侧者为重。身重难移,恶寒肢腹痛,自利,闭目
怕亮,不欲见人者,阴症。身痛如被杖,身重如山难动者,阴症。身轻易动,发热体痛,
骨节痛者,表症。身重骨节肿痛难伸动,自汗者,风湿。身重痛,骨节不活者湿痹。手
足抽搐,身反向后者,痉病。身目皆黄者黄胆。身如虫行者表虚。肉动筋急汗多者气虚。
臂多青筋者失血。手背热,与背上热者外感。手心热,与小腹热者内伤。浑身恶寒者伤寒。
背稍恶寒者气虚。足冷而晕者气虚。发热而晕者热厥。背曲肩垂者腑败。腰难转动者肾
败。形肥白者夭。形黑瘦有神者寿。形肥者邪气实。形瘦者邪气虚。肥人气虚生痰,难
以周流,痰凝生火,故多中风暴厥。瘦人阴虚血少,相火易亢,故多劳咳。病患形瘦喘
促狂乱者死。形肥大皮肤宽缓者寿。形肥大皮肤紧急者夭。血实气虚者则肥。气实血虚
者则瘦。肥人耐寒不耐热。瘦人耐热不耐寒。胃经气血旺者,髯美而长。胃经气血弱者,髯
少。胃经气血不足者,无髯,坐欲伏者,气少。坐欲下一足者,腰痛。行迟者,痹症。息
引胸中气上逆者,咳息。张口短气者,肺痿吐沫。叉手摸心闭目者,心虚。手心冷者,腹
中寒。手心热者,虚火旺。形肥者,气虚。形瘦者,气促。形肥者,脉细。形瘦者,脉疾。
形润者,脉涩。形涩者,脉滑。形大者,脉小。形长者,脉短。形矮者,脉长。
四肢不收者死。身肉不仁者死。寒热往来,形瘦脉涩者死。喘促发热者死。鼻衄发
热者死。湿痹身难动,时膝后高肉破,发热者死。气虚发热脉涩者死。身重尿不止者死。
身反向后抽搐者死。皮肤着骨者死。骨肉相离者死。大肉陷下者死。大骨枯槁者死。咳
嗽,尿血,形瘦脉小硬者死。妇人乳缩者死。心痛,气弱,着床者死。卧床遗尿不觉者死。
形肥,脉细,气少者死。形瘦脉大气多者死。心促肢冷者死。手孔生灰者死。背脊骨肿痛
者死。形肥食少为痰,肥人摸之如絮,为无气者死。形瘦食多为火,瘦人肉干着骨者死。
病人身体轻便,能够翻转侧卧的,属于轻症。身体沉重,难以翻转侧卧的,属于重症。身体沉重难以移动,恶寒(怕冷),四肢和腹部疼痛,自行腹泻,闭目畏光,不想见人的,是阴证。全身疼痛如同被棍棒打过,身体沉重如山难以动弹的,是阴证。身体轻便容易活动,发热且身体疼痛,骨节疼痛的,是表证。身体沉重,骨节肿胀疼痛难以伸展活动,自汗(不因劳累、炎热或药物而自然出汗)的,是风湿。身体沉重疼痛,骨节活动不灵活的,是湿痹。手足抽搐,身体向后反折的,是痉病。身体和眼睛都发黄的,是黄疸。身体感觉像有虫子在爬行的,是表虚。肌肉跳动,筋脉拘急,出汗多的,是气虚。手臂上青筋显露较多的,是失血。手背发热,以及背部发热的,是外感。手心发热,以及小腹部发热的,是内伤。浑身恶寒的,是伤寒。背部稍微恶寒的,是气虚。脚冷且头晕的,是气虚。发热且头晕的,是热厥(因热邪深伏导致阳气不能外达而引起的四肢逆冷及昏厥)。背部弯曲,肩膀下垂的,是腑气败坏。腰部难以转动的,是肾气败坏。形体肥胖白色的,主夭折(短命)。形体黑瘦但精神饱满的,主长寿。形体肥胖的,邪气实盛。形体消瘦的,邪气虚弱。肥胖的人气虚而生痰,痰液难以周身流通,痰凝滞而生火,所以多患中风、暴厥。消瘦的人阴虚血少,相火(寄居于肝肾之火)容易亢盛,所以多患劳损咳嗽。病人形体消瘦,气喘急促,神志狂乱的,预后不良(死)。形体肥大,皮肤松弛宽缓的,主长寿。形体肥大,皮肤紧绷紧急的,主夭折。血实气虚的则形体肥胖。气实血虚的则形体消瘦。肥胖的人耐寒但不耐热。消瘦的人耐热但不耐寒。胃经气血旺盛的,胡须美观且长。胃经气血微弱的,胡须稀少。胃经气血不足的,没有胡须。坐着时喜欢身体前伏的,是气少。坐着时喜欢一只脚着地的,是腰痛。行走迟缓的,是痹症。呼吸时牵引胸中气机上逆的,是咳喘。张口呼吸,气息短促的,是肺痿并吐沫。双手交叉护住心口,闭目的,是心虚。手心冷的,是腹中寒。手心热的,是虚火旺。形体肥胖的,气虚。形体消瘦的,气促。形体肥胖的,脉象细。形体消瘦的,脉象疾(快)。形体润泽的,脉象涩。形体干涩的,脉象滑。形体大的,脉象小。形体长的,脉象短。形体矮小的,脉象长。
四肢无法收持的,预后不良(死)。身体肌肉麻木不知痛痒的,预后不良(死)。寒热往来,形体消瘦,脉象涩的,预后不良(死)。气喘急促,发热的,预后不良(死)。鼻出血,发热的,预后不良(死)。湿痹身体难以活动,有时膝盖后方肌肉溃破,发热的,预后不良(死)。气虚发热,脉象涩的,预后不良(死)。身体沉重,小便失禁的,预后不良(死)。身体向后反折抽搐的,预后不良(死)。皮肤紧贴骨骼的,预后不良(死)。骨肉分离的,预后不良(死)。大腿肌肉塌陷凹陷的,预后不良(死)。大骨枯槁无肉的,预后不良(死)。咳嗽,尿血,形体消瘦,脉象细小坚硬的,预后不良(死)。妇女乳头内缩的,预后不良(死)。心痛,气弱,卧床不起的,预后不良(死)。卧床遗尿而不自知的,预后不良(死)。形体肥胖,脉象细,气少的,预后不良(死)。形体消瘦,脉象大,气盛的,预后不良(死)。心跳急促,四肢冰冷的,预后不良(死)。手指孔窍处生出灰黑色物的,预后不良(死)。背脊骨肿胀疼痛的,预后不良(死)。形体肥胖,吃得少,体内有痰,触摸身体如棉絮般松软无力的,是无气,预后不良(死)。形体消瘦,吃得多,体内有火,肌肉干枯附着于骨骼的,预后不良(死)。
If the patient's body is light and they can turn or shift positions, it indicates a mild condition. If the body is heavy and difficult to turn, it indicates a severe condition. If the body is heavy and difficult to move, accompanied by aversion to cold (Ehan), pain in the limbs and abdomen, spontaneous diarrhea, closed eyes with photophobia, and reluctance to see people, it is a Yin Syndrome (Yin Zheng). If the whole body hurts as if beaten by a stick, and the body is as heavy as a mountain and difficult to move, it is a Yin Syndrome. If the body is light and easy to move, accompanied by fever, body pain, and joint pain, it is a Exterior Syndrome (Biao Zheng). If the body is heavy, joints are swollen and painful and difficult to extend, accompanied by spontaneous sweating (Zihan), it is Wind-Dampness (Feng Shi). If the body is heavy and painful, and joints are not flexible, it is Damp Bi (Shi Bi). If there are convulsions of the hands and feet, and the body arches backward, it is Spasm Disease (Jing Bing). If both the body and eyes are yellow, it is Jaundice (Huang Dan). If the body feels as if insects are crawling on it, it is Exterior Deficiency (Biao Xu). If muscles twitch, tendons are tight, and there is excessive sweating, it is Qi Deficiency (Qi Xu). If there are many blue veins visible on the arms, it indicates loss of blood (Shi Xue). If the back of the hands and the back are hot, it is an External Contraction (Wai Gan). If the palms of the hands and the lower abdomen are hot, it is an Internal Injury (Nei Shang). If the whole body has aversion to cold, it is Cold Damage (Shang Han). If only the back has slight aversion to cold, it is Qi Deficiency. If the feet are cold and dizzy, it is Qi Deficiency. If there is fever and dizziness, it is Heat Jue (Re Jue - cold extremities due to deep heat). If the back is curved and shoulders droop, it indicates failure of the Fu organs (Fu Bai). If the waist is difficult to turn, it indicates failure of the Kidney (Shen Bai). A fat and white complexion indicates early death (Tao). A dark, thin figure with spirit indicates longevity (Shou). A fat figure indicates excess pathogenic factors (Xie Qi Shi). A thin figure indicates deficient pathogenic factors (Xie Qi Xu). Fat people have Qi deficiency leading to phlegm; phlegm fails to circulate freely, condenses and generates fire, so they often suffer from Stroke (Zhong Feng) or sudden syncope (Bao Jue). Thin people have Yin deficiency and scanty blood, allowing Ministerial Fire (Xiang Huo) to easily hyperactive, so they often suffer from Consumption Cough (Lao Ke). If a patient is thin, panting rapidly, and delirious, it is fatal. If the figure is large but skin is loose and relaxed, it indicates longevity. If the figure is large but skin is tight and urgent, it indicates early death. Blood excess and Qi deficiency lead to fatness. Qi excess and Blood deficiency lead to thinness. Fat people tolerate cold but not heat. Thin people tolerate heat but not cold. When Stomach Meridian Qi and Blood are vigorous, beards are beautiful and long. When Stomach Meridian Qi and Blood are weak, beards are sparse. When Stomach Meridian Qi and Blood are insufficient, there is no beard. Sitting while leaning forward indicates little Qi. Sitting while wanting to put one foot down indicates lumbar pain. Walking slowly indicates Bi Syndrome. Breathing that draws Qi upward from the chest indicates cough and panting. Mouth open, shortness of breath, and spitting foam indicate Lung萎 (Fei Wei - flaccidity of the lung). Hands crossed over the heart, eyes closed, indicate Heart Deficiency (Xin Xu). Cold palms indicate cold in the abdomen. Hot palms indicate flourishing deficient fire. Fat figures indicate Qi deficiency. Thin figures indicate rapid breathing (Qi Cu). Fat figures have fine pulses. Thin figures have rapid pulses. Moist figures have choppy pulses. Dry figures have slippery pulses. Large figures have small pulses. Long figures have short pulses. Short figures have long pulses.
Inability to control the four limbs is fatal. Numbness of body flesh is fatal. Alternating chills and fever, with a thin figure and choppy pulse, is fatal. Panting and fever is fatal. Epistaxis (Bi Nu) with fever is fatal. Damp Bi with difficulty moving, occasional rupture of the popliteal muscle, and fever is fatal. Qi deficiency with fever and a choppy pulse is fatal. Heavy body with uncontrollable urination is fatal. Body arching backward with convulsions is fatal. Skin adhering to bone is fatal. Separation of bone and flesh is fatal. Collapse of the great muscles (Da Rou) is fatal. Withered great bones (Da Gu) is fatal. Cough, hematuria, thin figure, and small hard pulse is fatal. Retraction of nipples in women is fatal. Heart pain, weak Qi, inability to rise from bed is fatal. Bedridden enuresis without awareness is fatal. Fat figure, fine pulse, and little Qi is fatal. Thin figure, large pulse, and abundant Qi is fatal. Rapid heartbeat with cold limbs is fatal. Grayish matter growing in finger pores is fatal. Swelling and pain of the spinal column is fatal. Fat person eating little with phlegm, feeling soft like cotton when touched, indicating lack of Qi, is fatal. Thin person eating much with fire, muscles dry and adhering to bone, is fatal.